J Telemed Telecare - Validation of remote mapping of cochlear implants.

Tópicos

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Resumo

Recipients of cochlear implants need to attend regular mapping sessions to adjust their speech processors. We developed a PC-based system for remote mapping, which employed voice, video and text communication. Eleven implant recipients had their implant electrodes programmed (mapped) both by conventional methods and remotely. Speech tests, conducted by a family member or research assistant, were used to test the outcome of the programming during the remote consultation. The recipient and audiologist were surveyed regarding aspects of the teleconsultation. There were no significant differences between conventionally and remotely programmed electrode settings. The speech test results were perfect in most cases. The average time to complete the conventional mapping session was 37min and the average time for the remote mapping session was 42min (P=0.034). Recipients and the audiologist reported favourably on most aspects of the consultations. Lack of synchronisation between voice and video was the most common problem, which disrupted communication. The assistant was important to overcome this problem. All but one participant indicated they would be willing to use tele-mapping in the future. Remote programming of cochlear implants can be conducted reliably with relatively simple equipment, potentially in the homes of remotely located patients assisted by a family member.

Resumo Limpo

recipi cochlear implant need attend regular map session adjust speech processor develop pcbase system remot map employ voic video text communic eleven implant recipi implant electrod program map convent method remot speech test conduct famili member research assist use test outcom program remot consult recipi audiologist survey regard aspect teleconsult signific differ convent remot program electrod set speech test result perfect case averag time complet convent map session min averag time remot map session min p recipi audiologist report favour aspect consult lack synchronis voic video common problem disrupt communic assist import overcom problem one particip indic will use telemap futur remot program cochlear implant can conduct reliabl relat simpl equip potenti home remot locat patient assist famili member

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